{"result_count":1,"results":[{"addresses":[{"address_1":"658 N CHASE STREET UNIT 102","address_purpose":"LOCATION","address_type":"DOM","city":"ATHENS","country_code":"US","country_name":"United States","fax_number":"850-522-8354","postal_code":"30601","state":"GA","telephone_number":"877-231-3376"},{"address_1":"2505 HARRISON AVE","address_purpose":"MAILING","address_type":"DOM","city":"PANAMA CITY","country_code":"US","country_name":"United States","fax_number":"850-522-8354","postal_code":"324054464","state":"FL","telephone_number":"877-231-3376"}],"basic":{"authorized_official_credential":"MD","authorized_official_first_name":"JON","authorized_official_last_name":"WARD","authorized_official_middle_name":"R","authorized_official_telephone_number":"8502333376","authorized_official_title_or_position":"MD/Owner","certification_date":"2022-09-01","enumeration_date":"2007-02-05","last_updated":"2022-09-02","organization_name":"DERMATOLOGY SPECIALISTS OF GEORGIA, LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1170695032000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"000084961B","issuer":null,"state":"GA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"10059273","issuer":"AMERIGROUP","state":"GA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"30926","issuer":"WELLCARE","state":"GA"}],"last_updated_epoch":"1662132418000","number":"1437298957","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"207N00000X","desc":"Dermatology","license":"18041","primary":true,"state":"GA","taxonomy_group":"193400000X - Single Specialty Group"}]}]}